SANTA ANA UNIFIED SCHOOL DISTRICT
Application for: _____________________________
Bond Oversight Committee for Measure G
School District Facilities
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Name:
____________________________________________________________________________________
(First)
(Middle)
(Last)
Address:
Residence: ________________________________________
Telephone Numbers:
Residence: ______________________
Mailing: __________________________________________
Business: _______________________
Email: __________________________________
Name and Address of Employer: _________________________________________________________
____________________________________________________________________________________
Current Occupation: _____________________________ Length of residency in Santa Ana: _________
Eligibility: (Please check the appropriate box that applies to your application)

Parent of SAUSD Student:
Child enrolled at __________________________ Grade: ______

Parent of SAUSD Student:
Active in School PTA at ________________________________
Active in School Site Council at __________________________

Representative of the senior citizen community:
Name of senior organization:____________________________

Representative of the business community in Santa Ana: Name of or
Name of business organization:___________________________

General member
Confirmation of above eligibility membership can be verified by contacting:
_________________________________
Name
______________________ _______________________
Position
Daytime phone
Facilities, construction, or finance experience:
Organization
Education:
School
From (date)
To (date)
Course of study
Positions held
Graduation date/degree
Additional pertinent courses or training:
____________________________________________________________________________________
____________________________________________________________________________________
Other pertinent skills, experience or interests:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please furnish brief, written responses to the questions below using additional sheets, if necessary.
1.
Why do you think you should be appointed? What is there specifically in your background,
training education and interests that qualify you as a candidate?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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2.
What do you see as the objective and goals of the oversight committee you are applying for?
_____________________________________________________________________________________
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3.
How would you help achieve the objectives and goals?
_____________________________________________________________________________________
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4.
Do you have any reservations about the Bond Oversight Committee?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Describe in detail your involvement in the organization you cite as qualifying you for committee
membership.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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You may add any additional information.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Are you willing to be interviewed by the Board of Education?

5.
Yes

No
Please provide the names, addresses and telephone numbers of three personal references (other
than family members, district employees and board members).
Name:
Address:
Telephone:
Name:
Address:
Telephone:
Name:
Address:
Telephone:
My signature below certifies that I am currently a resident of Santa Ana Unified School District.
_____________________________
Name (printed)
______________________________________ ____________
Signature
Date
Please submit your application
no later than 4:30 p.m. on February 18, 2014
To the Communications Office
Santa Ana Unified School District
1601 E. Chestnut Avenue
Santa Ana, Ca 92701